以质量求发展，以服务铸品牌

护理学报 ›› 2019, Vol. 26 ›› Issue (19): 7-10.doi: 10.16460/j.issn1008-9969.2019.19.007

• 研究生园地 • 上一篇    下一篇

基于流程再造理论炎症性肠病患者日间生物制剂治疗服务模式的构建及应用

杨洁凤, 王倩, 陈湘玉, 杨华   

  1. 南京大学医学院附属鼓楼医院 消化内科,江苏 南京 210008
  • 收稿日期:2019-06-19 出版日期:2019-10-10 发布日期:2020-07-20
  • 通讯作者: 王 倩（1971-）,女,江苏南京人,本科学历,副主任护师,护士长。E-mail：523199780@qq.com
  • 作者简介:杨洁凤（1994-）,女,云南丽江人,本科学历,硕士研究生在读。

Construction, Application of Day Biological Therapy Service Model for Patients with Inflammatory Bowel Disease Based on Process Reengineering Theory

YANG Jie-feng, WANG Qian, CHEN Xiang-yu, YANG Hua   

  1. Dept. of Gastroenterology, Nanjing Drum Tower Hospital, Nanjing 210008, China
  • Received:2019-06-19 Online:2019-10-10 Published:2020-07-20

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摘要： 目的 再造炎症性肠病患者生物制剂治疗服务流程,构建日间生物制剂治疗服务模式,满足患者治疗需求,减轻患者负担,提升医疗服务质量。方法 基于流程再造理论,医院多部门协作对炎症性肠病患者生物制剂治疗服务流程再设计,根据患者意愿,将选择按再造前流程,行常规住院治疗者设为住院治疗组,按再造后流程治疗者为流程再造组,比较2组患者的治疗用时、治疗费用及就医体验满意度。结果 2018年4—12月,共111例患者行常规住院治疗,98例按再造流程完成治疗。与住院治疗患者相比,流程再造组患者治疗用时及治疗费用更低（P<0.05）;患者就医体验总体满意度显著提升（P<0.05）。结论 炎症性肠病患者生物制剂治疗服务流程再造后的日间治疗模式减轻了患者时间、经济负担,提升了患者就医体验满意度及我科生物制剂治疗的工作效率和服务质量。

关键词: 流程再造理论, 炎症性肠病, 生物制剂治疗, 日间病房, 多部门协作

Abstract: Objective To establish biological therapy service process for patients with inflammatory bowel disease (IBD), meet the treatment needs of patients, ensure medical service quality, and reduce the burden of patients. Methods Based on the theory of business process reengineering, the process of biological therapy service for IBD patients was redesigned through multi-department cooperation, and the reengineering process was applied to some patients chosen as the observation group. Patients received former routine treatment were selected as the control group. Average length of hospital stay, hospitalization cost and satisfaction with medical service were compared in the two groups. Results From April to December 2018, a total of 111 patients received former routine treatment, and 98 patients completed the treatment according to the reconstruction process. The average length of stay was shorter and hospitalization cost except drug cost and testing cost was lower in the observation group (P<0.05). Patients' satisfaction with medical service was significantly improved (P<0.05). Conclusion After the process reengineering of biological therapy service, the treatment time is shortened and patients' financial burden is reduced and patients are more satisfied with the service. Work efficiency and service quality of digestive medicine department are improved, which is conducive to the professional development of IBD specialty.

Key words: process reengineering theory, inflammatory bowel disease, biological therapy, day ward, multi-department cooperation

中图分类号: 

  • R473.5
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